| NPI | 1548966799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELECIA CALLUM TYEHIMBA CEO / Administrator 239-245-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |